| NPI | 1063816379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LAWS Administrative Assistant 806-468-4628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 730772) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |